Pendahuluan Skrining Kanker Payudara

Oleh dr. Riawati Jahja

Skrining kanker payudara adalah deteksi dini terhadap adanya kanker yang belum disadari, atau sebelum timbulnya gejala, agar dapat dicegah perkembangannya, dan mendapatkan akses pengobatan yang cepat dan tepat.

Kanker payudara yang masih kecil, atau tidak teraba, bila terdeteksi dini, akan lebih mudah diobati, penanganannya juga akan tidak/kurang invasif, dan prognosisnya akan lebih baik, daripada yang telah menjadi stadium lanjut/menyebar.

Mamografi. Sumber: anonim, PHIL CDC.

Metode pemeriksaan skrining kanker payudara secara umum terbagi tiga, yaitu :

Metode utama:
- Breast Self-Examination, atau pemeriksaan payudara sendiri (SADARI)
- Clinical Breast Examination, atau pemeriksaan payudara klinis (SADANIS)
- Mamografi

Metode penunjang: USG Mammae dan MRI Mammae

Metode Teknik Lainnya

Referensi

1. Baxter, N., & the Canadian Task Force on Preventive Health, C. (2001). Preventive health care, 2001 update: Should women be routinely taught breast self-examination to screen for breast cancer? CMAJ: Canadian Medical Association Journal, 164(13), 1837-1846.

2. Bryan, T., & Snyder, E. (2013). The Clinical Breast Exam: A Skill that Should Not Be Abandoned. Journal of General Internal Medicine, 28(5), 719-722. doi: 10.1007/s11606-013-2373-9

3. InfoDatin: Pusat Data dan Informasi Kementerian Kesehatan Republik Indonesia. (Oct 2016). Kanker Payudara http://www.depkes.go.id/folder/view/01/structure-publikasi-pusdatin-info-datin.html

4. Kosters, J. P., & Gotzsche, P. C. (2003). Regular self-examination or clinical examination for early detection of breast cancer. Cochrane Database Syst Rev(2), CD003373. doi: 10.1002/14651858.cd003373

5. Kosters, J. P., & Gotzsche, P. C. (2008). Regular self-examination or clinical examination for early detection of breast cancer [Review Updated on Oct 8, 2007]. Cochrane Database Syst Rev(3), CD003373. doi: 10.1002/14651858.cd003373

6. Liu, Y., Nguyen, N., & Colditz, G. A. (2015). Links between alcohol consumption and breast cancer: a look at the evidence. Women’s Health (London, England), 11(1), 65–77. http://doi.org/10.2217/whe.14.62

7. McDonald, J. A., Goyal, A., & Terry, M. B. (2013). Alcohol Intake and Breast Cancer Risk: Weighing the Overall Evidence. Current Breast Cancer Reports, 5(3), 10.1007/s12609–013–0114–z. http://doi.org/10.1007/s12609-013-0114-z

8. Provencher, L., Hogue, J. C., Desbiens, C., Poirier, B., Poirier, E., Boudreau, D., et al. (2016). Is clinical breast examination important for breast cancer detection? Current Oncology, 23(4), e332-e339. doi: 10.3747/co.23.2881

9. Sankaranarayanan, R., Ramadas, K., Thara, S., Muwonge, R., Prabhakar, J., Augustine, P., et al. (2011). Clinical breast examination: preliminary results from a cluster randomized controlled trial in India. J Natl Cancer Inst, 103(19), 1476-1480. doi: 10.1093/jnci/djr304

10. Saslow, D., Hannan, J., Osuch, J., Alciati, M. H., Baines, C., Barton, M., et al. (2004). Clinical breast examination: practical recommendations for optimizing performance and reporting. CA Cancer J Clin, 54(6), 327-344.

11. Siu, A. L., Bibbins-Domingo, K., Grossman, D. C., LeFevre, M. L., & on behalf of the, U. S. P. S. T. F. (2016). Convergence and divergence around breast cancer screening. Annals of Internal Medicine, 164(4), 301-302. doi: 10.7326/m15-3065

12. The Australian Government Department of Health. (March 2015). Breast Screen Australia, http://cancerscreening.gov.au/internet/screening/publishing.nsf/Content/about-breast-screening

13. The Canadian Cancer Society. (2017). Breast Screening Technology, http://www.cbcf.org/ontario/AboutBreastHealth/GetScreened/Pages/Screening-Technology.aspx

14. The US Centers for Disease Control and Prevention. (Apr 2016). Breast Cancer: What are the risk factors, https://www.cdc.gov/cancer/breast/basic_info/risk_factors.htm

15. The US National Institute of Health: National Cancer Instritue. (June 2017). Breast Cancer Screening for Health Professional, https://www.cancer.gov/types/breast/hp/breast-screening-pdq#section/_121

16. The World Health Organization. (2017a). Breast Cancer, http://www.who.int/cancer/prevention/diagnosis-screening/breast-cancer/en/

17. The World Health Organization. (2017b). Breast Cancer: Prevention and Control, http://www.who.int/cancer/detection/breastcancer/en/index3.html

18. Yip, C. H., Smith, R. A., Anderson, B. O., Miller, A. B., Thomas, D. B., Ang, E. S., et al. (2008). Guideline implementation for breast healthcare in low- and middle-income countries: early detection resource allocation. Cancer, 113(8 Suppl), 2244-2256. doi: 10.1002/cncr.23842

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Pendahuluan Skrining Kanker Payudara

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